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CORPORATE WELLNESS NUTRITION LLC
NPI 1316257553
Dietitian, Registered in Bala Cynwyd, PA

Active since October 20, 2010
150 MONUMENT RD STE 207, BALA CYNWYD, PA 19004(800) 484-7720(215) 628-3262 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2024, Apr 16, 2020 (2 updates tracked since 2020).

About Corporate Wellness Nutrition Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORPORATE WELLNESS NUTRITION LLC (NPI 1316257553) is a healthcare organization registered as a dietitian, registered in Bala Cynwyd, Pennsylvania and active in the NPI registry since October 2010. The organization maintains a secondary practice location in Philadelphia and lists Brian Davidson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1316257553
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameCORPORATE WELLNESS NUTRITION LLC
Location Address150 MONUMENT RD STE 207Bala Cynwyd, PA 19004-1725
Mailing Address150 Monument Rd Ste 207Bala Cynwyd, PA 19004-1725 · (800) 484-7720 · Fax (215) 628-3262
Phone(800) 484-7720
Fax(215) 628-3262
Organization SubpartNo
Authorized OfficialBrian DavidsonExecutive Director · (800) 484-7720
Enumeration DateOctober 20, 2010
Last NPPES UpdateOctober 1, 20252 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
✔ NPI 1316257553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in PA · DN003782
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
150 MONUMENT RD STE 207, Bala Cynwyd, PA 19004
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Secondary Practice Location 1

Location 11839 Manton StreetPhiladelphia, PA 19146 · Phone (215) 827-6701 · Fax (800) 258-1426

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Corporate Wellness Nutrition Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Corporate Wellness Nutrition LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Becker, RD
Registered Dietitian or Nutrition Professional
NPI 1548653975
269 38TH ST S
Brigantine, NJ 08203
(856) 577-3083
61 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corporate Wellness Nutrition LLC's NPI number?

The NPI number for Corporate Wellness Nutrition LLC is 1316257553. It was assigned to this organization in the NPPES registry on October 20, 2010.

Where is Corporate Wellness Nutrition LLC located?

Corporate Wellness Nutrition LLC is located at 150 Monument Rd Ste 207, Bala Cynwyd, PA 19004. The listed phone number is (800) 484-7720.

What is Corporate Wellness Nutrition LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Corporate Wellness Nutrition LLC enrolled in Medicare?

Yes. Corporate Wellness Nutrition LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Corporate Wellness Nutrition LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Corporate Wellness Nutrition LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Corporate Wellness Nutrition LLC was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.